In which groups of pregnant women can the caesarean delivery rate likely be reduced safely in the USA? A multicentre cross-sectional study.

ABSTRACT:

Objectives

To identify obstetrical subgroups in which (1) the caesarean delivery (CD) rate may be reduced without compromising safety and (2) CD may be associated with better perinatal outcomes.

Design

A multicentre cross-sectional study.

Setting

19 hospitals in the USA that participated in the Consortium on Safe Labor.

Participants

228 562 pregnant women in 2002-2008.

Main outcome measures

Maternal and neonatal safety was measured using the individual Weighted Adverse Outcome Score.

Methods

Women were divided into 10 subgroups according to a modified Robson classification system. Generalised estimated equation model was used to examine the relationships between mode of delivery and Weighted Adverse Outcome Score in each subgroup.

Results

T

SUBMITTER: Zhang JW 

PROVIDER: S-EPMC6078266 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature